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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718657 | PMC |
| http://dx.doi.org/10.1016/j.vgie.2022.08.012 | DOI Listing |
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Single-Session Endoscopic Ultrasound-Directed Transgastric Intervention for a Fine Needle Biopsy of Pancreatic Head Mass Using Endoscopic Through-the-Scope Suturing in a Patient With Roux-en-Y Gastric Bypass Anatomy.
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March 2024
University of Central Florida College of Medicine, Graduate Medical Education/HCA Florida North Florida Hospital, Internal Medicine Residency Program, Gainesville, FL.
Endoscopic ultrasound (EUS) is a diagnostic tool used to examine pancreatic lesions. In patients who have undergone Roux-en-Y gastric bypass, lesions of the pancreatic head can be difficult to access because of altered foregut anatomy. To access the excluded stomach for better visualization of the pancreatic head, EUS-directed transgastric intervention can be used in a 2-step fashion.
View Article and Find Full Text PDFFixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study.
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Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA.
Background And Aims: With the global obesity pandemic, clinical scenarios requiring urgent ERCP in patients with gastric bypass surgery are on the rise, and single-session EUS-directed transgastric ERCP (SS-EDGE) can effectively address these technical challenges. The aim of this study was to evaluate and describe the safe and effective use of a through-the-scope endoscopic suturing system for anchoring the lumen-apposing metal stents (LAMSs) during SS-EDGE.
Methods: Six patients with Roux-en-Y gastric bypass (RYGB) underwent SS-EDGE at our center.
Helix tack for lumen-apposing metal stent fixation in single-session EUS-directed transgastric ERCP.
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April 2023
Center for Interventional Endoscopy, AdventHealth, Orlando, Florida.
Video 1Helix tack for lumen-apposing metal stent fixation in single-session EUS-directed transgastric ERCP.
View Article and Find Full Text PDFSingle-session EUS-directed transgastric endoscopic retrograde cholangiopancreatography and transpapillary gallbladder drainage.
VideoGIE
December 2022
Division of Gastroenterology, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts.
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October 2022
Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, Baltimore, Maryland, USA.
Background And Aims: Placement of a lumen-apposing metal stent (LAMS) between the gastric pouch and the excluded stomach allows for EUS-guided transgastric interventions (EDGIs) in patients with Roux-en-Y gastric bypass (RYGB). Although EUS-guided transgastric ERCP (EDGE) outcomes have been reported, data are scant on other endoscopic interventions. We aimed to evaluate the outcomes and safety of EDGIs.
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